Individual provider Active NPI

Aida Camanguian, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Morganton, NC
National Provider Identifier
1134616618
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5010479 Issued in NC
Practice address
300 Enola Rd
Morganton, NC 28655-4608
Phone
(828) 608-6000
NPI assigned
Apr 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010479 NC
Gerontology Nurse Practitioner 363LG0600X 5010479 NC Primary

Addresses

Primary practice location

300 Enola Rd
Morganton, NC 28655-4608

Mailing address

300 Enola Rd
Morganton, NC 28655-4608
Phone (828) 608-6000

Other practice location 1

730 Malcolm Blvd Ste 200
Connelly Springs, NC 28612-8079
Phone (828) 580-7048

Other practice location 2

107 Mica Ave Ste B
Morganton, NC 28655-8135
Phone (828) 437-7702

Other practice location 3

932 Old US 70 W
Black Mountain, NC 28711-2547
Phone (828) 259-6700 ext. 6913

Other practice location 4

2209 S Sterling St Ste 200
Morganton, NC 28655
Phone (828) 580-6752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818004414 NC Order and Referring Only - Nurse Practitioner 7719232511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5010479NCMDGerontology Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1134616618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ENOLA RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554608",
            "telephone_number": "828-608-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ENOLA RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554608",
            "telephone_number": "828-608-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Malcolm Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286128079",
            "country_code": "US",
            "telephone_number": "828-580-7048",
            "fax_number": "828-580-3985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Mica Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286558135",
            "country_code": "US",
            "telephone_number": "828-437-7702",
            "fax_number": "828-437-7041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 Old US 70 W",
            "address_purpose": "LOCATION",
            "city": "Black Mountain",
            "state": "NC",
            "postal_code": "287112547",
            "country_code": "US",
            "telephone_number": "828-259-6700 x6913",
            "fax_number": "828-669-3229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 S Sterling St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "28655",
            "country_code": "US",
            "telephone_number": "828-580-6752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMANGUIAN",
        "first_name": "AIDA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010479",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5010479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.